Calne R Y, McMaster P, Pentlow B D
Br J Surg. 1979 May;66(5):338-9. doi: 10.1002/bjs.1800660512.
Four patients are reported in whom massive haemorrhage from severe hepatic trauma was managed initially by conservative surgery and packing. The patients were then transferred by ambulance to Addenbrooke's Hospital where further treatment involved elective surgery and removal of packs. All 4 patients were discharged from hospital and have made full recoveries. It is felt that the management of liver trauma should be to do the minimum that is necessary to staunch bleeding, by suture, arterial ligation, lobectomy, resectional debridement or simply by packing. This allows the patient's haemodynamic state to be restored to normal before further surgery is attempted.
报告了4例严重肝外伤大出血患者，最初采用保守手术和填塞进行治疗。然后，这些患者通过救护车被转送到阿登布鲁克医院，在那里进一步的治疗包括择期手术和取出填塞物。所有4例患者均已出院并完全康复。认为肝外伤的处理应采取必要的最小限度措施来止血，可通过缝合、动脉结扎、肝叶切除术、切除清创术或简单的填塞来实现。这使得在尝试进一步手术之前患者的血流动力学状态恢复正常。
